аЯрЁБс>ўџ .0ўџџџ-џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС5@ №ПШbjbjЯ2Я2 4­X­XШџџџџџџˆрррррррє|||| ˆ єЩ Ж (ШШШШЃЃЃH J J J J J J $ Rб Ќn р*ЃЃ**n ррШШлƒ vvv*рШрШH v*H v v‚рр‚Ш” аў ‹ЋнЧ|@"‚H ™ 0Щ ‚} b } ‚єєрррр‚>} рРˆЃЗvХ бYЃЃЃn n єєD8Dl єє8GPC Information and guidance on prescribing in general practice September 2004 Travel vaccinations Are GPs obliged to give travel vaccinations? There are some travel vaccinations (previously described in Paragraph 27/Schedule of the GP Statement of Fees and Allowances) for which NHS GPs are paid for providing on the NHS. These include small pox, typhoid, cholera, polio and infectious hepatitis. There are public health reasons why the government chooses to pay for these vaccinations. GPs are paid for this work through the global sum (in GMS contract) or it will be built into their baseline funding in PMS. Only if a doctor opt-outs of the vaccination and immunisation additional service (and has their global sum reduced by 2%) will a GP be able to refuse to give these public health travel vaccinations. (Please also see  HYPERLINK "http://www.bma.org.uk/ap.nsf/Content/focusvacc%26imms0404" Focus on Vaccinations and Immunisations ) Can I charge for travel vaccinations? All other travel vaccinations can be charged for under Schedule 5 Fees and Charges of The National Health Service (General Medical Services Contracts) Regulations 2004. The prescribing or providing of malaria chemoprophylaxis can also be charged for under Schedule 5. (Please see also  HYPERLINK "http://www.bma.org.uk/ap.nsf/Content/focusprivatepractice0604" Focus on Private Practice ) Can I charge patients in my travel clinic for providing in-depth advice on travel vaccinations? Whenever a GP gives a vaccination it is good practice to advise the patient on the efficacy/value of the vaccine, and any other protection that may be advisable, and to discuss relevant side-effects or concerns the patient may have. This advice should be accepted as part of the normal process in the provision of travel vaccinations. The supply of travel vaccines is a predominantly private service, and it is appropriate for the fee charged by the GP to reflect the necessary advice. We do not advise GPs to separate the fee for advice from the fee for the administration of the vaccination because some of the vaccines are given on the NHS and charging for giving travel advice when administering Hepatitis A or Typhoid would be charging the patient for an NHS service. @AOQdef’“ЂЈЉЕн щ  ! - @ A ˆ ‰ Б В Е к л х ы ь ј ј љ D E _ ` c Т У § &^dЧШюузуЩНуЩНузузузузузуЎуЎЂЎуЩНузузуЎуЎЂЎуЩНузузузузу› hц}hЄhц}hц}>*mH sH jhц}hц}UmH sH hц}hц}5mH sH hц}hц}5\mH sH hц}hц}\mH sH hц}hц}mH sH "hц}hц}5CJ\aJmH sH 3@Шђэgdц} ЄdЄd@&[$\$gdц}Шў2&P 1F:pF№А‚. 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